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Wyoming rates for HCPCS L3660

Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.81 / $248.81 / $248.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $82.82 / $129.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.43 / $144.43 / $144.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.43 / $144.43 / $144.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $156.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $112.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.09 / $56.53 / $62.76